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What is a Lipohemangioma on a vertbrae?
This is the MRI report of my mother, she is having severe pain and has been recommended bed rest along with Ultracet. I would like to know what is the prognosis and whom should she be seeing for a second opinion a orthopedic spine surgeon or a neurosurgeon?

MRI was performed using SE, FSE and FSEIR techniques. Images were

obtained in a axial and sagittal planes. Small round lesion

hyperintense on T1W, T2W and hypointense at STIR noted involving T12,

L1, L3 ans S1 vertebrae noted (sign of lipohaemongioma)

Rest of the vertebral bodies are normal in height alignment and signal

intensity. Posterior limits are normal.

Disc dessicition with loss of T2 hyperdensity of disc noted in L4-L5

and L5- S1 intervertebral discs.

Diffuse disc bulge noted at D12-L1 level.

Diffuse disc bulge with right extra forminal disc protusion noted at

L3-L4 level causing thecal sac compression and mild bilateral neural

forminal narrowing.

Diffuse disc bulge causing thecal sac compression and bilateral near

total neural forminal noted at L4-L5 level.

diffuse disc bulge with posterior central and right para central disc

protusion noted L5-S1 level causing thecal compression and bilateral

neural foraminal narowing (right to left)

Spinal canal narrowing at L4-L5 and L5-S1 level. AP diameter L-4-L5 :

9 mm
L5-S1 8mm
Intervertebral discs are normal in height and signal intensity
Thecal sac contents are normal in bulk and signal intensity
Pre-para vertebral soft tissues are normal in bulk and signal

intensity.

Impression:

Lipohaemangioma at D12, L1, L3 & S1 Vertebrae

DJD of the lumbar spine, Diffuse disc bulge at D12-L1 level

Diffuse disc bulge with right extra forminal disc protusion at L3-L4

level causing thecal sac compression and mild bilateral neural

forminal narrowing.

Diffuse disc bulge causing thecal sac compression and bilsateral near

total neural forminal narrowing at L4- L5 level

Diffuse disc bulge with posterior centeral and right para central disc

protusion at L5-S1 level causing thecal sac compression and bilateral

neural forminal norrowing right left.

Spinal canal narrowing at L4-L5 and L5 and S1 level.

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